Extraoral Implants in the Rehabilitation of Craniofacial Defects: Implant and Prosthesis Survival Rates and Peri-Implant Soft Tissue Evaluation
Purpose Few reports have evaluated cumulative survival rates of extraoral rehabilitation and peri-implant soft tissue reaction at long-term follow-up. The objective of this study was to evaluate implant and prosthesis survival rates and the soft tissue reactions around the extraoral implants used to...
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| Veröffentlicht in: | Journal of oral and maxillofacial surgery 2012-07, Vol.70 (7), p.1551-1557 |
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| creator | Curi, Marcos Martins, DDS, MSc, PhD Oliveira, Marcelo Ferraz, DDS, MSc, PhD Molina, Giuliano, MD, MSc Cardoso, Camila Lopes, DDS, MSc De Groot Oliveira, Loretta Branemark, Per-Ingvar, MD, PhD de Cássia Braga Ribeiro, Karina, DDS, PhD |
| description | Purpose Few reports have evaluated cumulative survival rates of extraoral rehabilitation and peri-implant soft tissue reaction at long-term follow-up. The objective of this study was to evaluate implant and prosthesis survival rates and the soft tissue reactions around the extraoral implants used to support craniofacial prostheses. Materials and Methods A retrospective study was performed of patients who received implants for craniofacial rehabilitation from 2003 to 2010. Two outcome variables were considered: implant and prosthetic success. The following predictor variables were recorded: gender, age, implant placement location, number and size of implants, irradiation status in the treated field, date of prosthesis delivery, soft tissue response, and date of last follow-up. A statistical model was used to estimate survival rates and associated confidence intervals. We randomly selected 1 implant per patient for analysis. Data were analyzed using the Kaplan-Meier method and log-rank test to compare survival curves. Results A total of 150 titanium implants were placed in 56 patients. The 2-year overall implant survival rates were 94.1% for auricular implants, 90.9% for nasal implants, 100% for orbital implants, and 100% for complex midfacial implants ( P = .585). The implant survival rates were 100% for implants placed in irradiated patients and 94.4% for those placed in nonirradiated patients ( P = .324). The 2-year overall prosthesis survival rates were 100% for auricular implants, 90.0% for nasal implants, 92.3% for orbital implants, and 100% for complex midfacial implants ( P = .363). The evaluation of the peri-implant soft tissue response showed that 15 patients (26.7%) had a grade 0 soft tissue reaction, 30 (53.5%) had grade 1, 6 (10.7%) had grade 2, and 5 (8.9%) had grade 3. Conclusions From this study, it was concluded that craniofacial rehabilitation with extraoral implants is a safe, reliable, and predictable method to restore the patient's normal appearance. |
| doi_str_mv | 10.1016/j.joms.2012.03.011 |
| format | Article |
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The objective of this study was to evaluate implant and prosthesis survival rates and the soft tissue reactions around the extraoral implants used to support craniofacial prostheses. Materials and Methods A retrospective study was performed of patients who received implants for craniofacial rehabilitation from 2003 to 2010. Two outcome variables were considered: implant and prosthetic success. The following predictor variables were recorded: gender, age, implant placement location, number and size of implants, irradiation status in the treated field, date of prosthesis delivery, soft tissue response, and date of last follow-up. A statistical model was used to estimate survival rates and associated confidence intervals. We randomly selected 1 implant per patient for analysis. Data were analyzed using the Kaplan-Meier method and log-rank test to compare survival curves. Results A total of 150 titanium implants were placed in 56 patients. The 2-year overall implant survival rates were 94.1% for auricular implants, 90.9% for nasal implants, 100% for orbital implants, and 100% for complex midfacial implants ( P = .585). The implant survival rates were 100% for implants placed in irradiated patients and 94.4% for those placed in nonirradiated patients ( P = .324). The 2-year overall prosthesis survival rates were 100% for auricular implants, 90.0% for nasal implants, 92.3% for orbital implants, and 100% for complex midfacial implants ( P = .363). The evaluation of the peri-implant soft tissue response showed that 15 patients (26.7%) had a grade 0 soft tissue reaction, 30 (53.5%) had grade 1, 6 (10.7%) had grade 2, and 5 (8.9%) had grade 3. Conclusions From this study, it was concluded that craniofacial rehabilitation with extraoral implants is a safe, reliable, and predictable method to restore the patient's normal appearance.</description><identifier>ISSN: 0278-2391</identifier><identifier>EISSN: 1531-5053</identifier><identifier>DOI: 10.1016/j.joms.2012.03.011</identifier><identifier>PMID: 22698291</identifier><identifier>CODEN: JOMSDA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Child ; Cranial Irradiation ; Dentistry ; Ear, External ; Facial Bones - surgery ; Female ; Follow-Up Studies ; Humans ; Male ; Mastoid - surgery ; Medical sciences ; Middle Aged ; Nasal Cavity - surgery ; Nose ; Orbital Implants ; Osteotomy - methods ; Otorhinolaryngology. Stomatology ; Prostheses and Implants ; Prosthesis Design ; Prosthesis Implantation - methods ; Prosthesis Retention ; Retrospective Studies ; Skin - pathology ; Skull - surgery ; Surgery ; Survival Analysis ; Temporal Bone - surgery ; Treatment Outcome ; Young Adult</subject><ispartof>Journal of oral and maxillofacial surgery, 2012-07, Vol.70 (7), p.1551-1557</ispartof><rights>American Association of Oral and Maxillofacial Surgeons</rights><rights>2012 American Association of Oral and Maxillofacial Surgeons</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-5049edc27c5a6fed444a1bd41d60e9365909c9cbb8dd8738708c1f4f557112673</citedby><cites>FETCH-LOGICAL-c441t-5049edc27c5a6fed444a1bd41d60e9365909c9cbb8dd8738708c1f4f557112673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.joms.2012.03.011$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26066710$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22698291$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Curi, Marcos Martins, DDS, MSc, PhD</creatorcontrib><creatorcontrib>Oliveira, Marcelo Ferraz, DDS, MSc, PhD</creatorcontrib><creatorcontrib>Molina, Giuliano, MD, MSc</creatorcontrib><creatorcontrib>Cardoso, Camila Lopes, DDS, MSc</creatorcontrib><creatorcontrib>De Groot Oliveira, Loretta</creatorcontrib><creatorcontrib>Branemark, Per-Ingvar, MD, PhD</creatorcontrib><creatorcontrib>de Cássia Braga Ribeiro, Karina, DDS, PhD</creatorcontrib><title>Extraoral Implants in the Rehabilitation of Craniofacial Defects: Implant and Prosthesis Survival Rates and Peri-Implant Soft Tissue Evaluation</title><title>Journal of oral and maxillofacial surgery</title><addtitle>J Oral Maxillofac Surg</addtitle><description>Purpose Few reports have evaluated cumulative survival rates of extraoral rehabilitation and peri-implant soft tissue reaction at long-term follow-up. The objective of this study was to evaluate implant and prosthesis survival rates and the soft tissue reactions around the extraoral implants used to support craniofacial prostheses. Materials and Methods A retrospective study was performed of patients who received implants for craniofacial rehabilitation from 2003 to 2010. Two outcome variables were considered: implant and prosthetic success. The following predictor variables were recorded: gender, age, implant placement location, number and size of implants, irradiation status in the treated field, date of prosthesis delivery, soft tissue response, and date of last follow-up. A statistical model was used to estimate survival rates and associated confidence intervals. We randomly selected 1 implant per patient for analysis. Data were analyzed using the Kaplan-Meier method and log-rank test to compare survival curves. Results A total of 150 titanium implants were placed in 56 patients. The 2-year overall implant survival rates were 94.1% for auricular implants, 90.9% for nasal implants, 100% for orbital implants, and 100% for complex midfacial implants ( P = .585). The implant survival rates were 100% for implants placed in irradiated patients and 94.4% for those placed in nonirradiated patients ( P = .324). The 2-year overall prosthesis survival rates were 100% for auricular implants, 90.0% for nasal implants, 92.3% for orbital implants, and 100% for complex midfacial implants ( P = .363). The evaluation of the peri-implant soft tissue response showed that 15 patients (26.7%) had a grade 0 soft tissue reaction, 30 (53.5%) had grade 1, 6 (10.7%) had grade 2, and 5 (8.9%) had grade 3. Conclusions From this study, it was concluded that craniofacial rehabilitation with extraoral implants is a safe, reliable, and predictable method to restore the patient's normal appearance.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Cranial Irradiation</subject><subject>Dentistry</subject><subject>Ear, External</subject><subject>Facial Bones - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Mastoid - surgery</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nasal Cavity - surgery</subject><subject>Nose</subject><subject>Orbital Implants</subject><subject>Osteotomy - methods</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Prostheses and Implants</subject><subject>Prosthesis Design</subject><subject>Prosthesis Implantation - methods</subject><subject>Prosthesis Retention</subject><subject>Retrospective Studies</subject><subject>Skin - pathology</subject><subject>Skull - surgery</subject><subject>Surgery</subject><subject>Survival Analysis</subject><subject>Temporal Bone - surgery</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0278-2391</issn><issn>1531-5053</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks1u1DAUhSMEotPCC7BA3iCxSbCdxEkQQkLTASpVAnXK2nKcG9Uhiae-yYg-Ba_MDTMDEgtWXvg79-ecG0UvBE8EF-pNl3R-wERyIROeJlyIR9FK5KmIc56nj6MVl0UZy7QSZ9E5YseJyAv1NDqTUlWlrMQq-rn5MQXjg-nZ1bDrzTghcyOb7oDdwJ2pXe8mMzk_Mt-ydTCj862xjvBLaMFO-PakY2Zs2NfgkbTokG3nsHd7Am_MBHj4heDiE7717cRuHeIMbEPc_LvNs-hJa3qE58f3Ivr2cXO7_hxff_l0tf5wHdssExMtmFXQWFnY3KgWmizLjKibTDSKQ5WqvOKVrWxdl01TFmlZ8NKKNmvzvBBCqiK9iF4f6u6Cv58BJz04tNDTaOBn1IJLTg7lqiJUHlBLy2GAVu-CG0x4IEgvQehOL0HoJQjNU002k-jlsf5cD9D8kZycJ-DVETBoTd-StdbhX05xpQrBiXt34IDc2DsIGq2D0ULjAvmvG-_-P8f7f-S2d6Ojjt_hAbDzcxjJZy00kkZvl5NZLkZIzlNV8vQXBg-9Bw</recordid><startdate>20120701</startdate><enddate>20120701</enddate><creator>Curi, Marcos Martins, DDS, MSc, PhD</creator><creator>Oliveira, Marcelo Ferraz, DDS, MSc, PhD</creator><creator>Molina, Giuliano, MD, MSc</creator><creator>Cardoso, Camila Lopes, DDS, MSc</creator><creator>De Groot Oliveira, Loretta</creator><creator>Branemark, Per-Ingvar, MD, PhD</creator><creator>de Cássia Braga Ribeiro, Karina, DDS, PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120701</creationdate><title>Extraoral Implants in the Rehabilitation of Craniofacial Defects: Implant and Prosthesis Survival Rates and Peri-Implant Soft Tissue Evaluation</title><author>Curi, Marcos Martins, DDS, MSc, PhD ; Oliveira, Marcelo Ferraz, DDS, MSc, PhD ; Molina, Giuliano, MD, MSc ; Cardoso, Camila Lopes, DDS, MSc ; De Groot Oliveira, Loretta ; Branemark, Per-Ingvar, MD, PhD ; de Cássia Braga Ribeiro, Karina, DDS, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-5049edc27c5a6fed444a1bd41d60e9365909c9cbb8dd8738708c1f4f557112673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Cranial Irradiation</topic><topic>Dentistry</topic><topic>Ear, External</topic><topic>Facial Bones - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Mastoid - surgery</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nasal Cavity - surgery</topic><topic>Nose</topic><topic>Orbital Implants</topic><topic>Osteotomy - methods</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Prostheses and Implants</topic><topic>Prosthesis Design</topic><topic>Prosthesis Implantation - methods</topic><topic>Prosthesis Retention</topic><topic>Retrospective Studies</topic><topic>Skin - pathology</topic><topic>Skull - surgery</topic><topic>Surgery</topic><topic>Survival Analysis</topic><topic>Temporal Bone - surgery</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Curi, Marcos Martins, DDS, MSc, PhD</creatorcontrib><creatorcontrib>Oliveira, Marcelo Ferraz, DDS, MSc, PhD</creatorcontrib><creatorcontrib>Molina, Giuliano, MD, MSc</creatorcontrib><creatorcontrib>Cardoso, Camila Lopes, DDS, MSc</creatorcontrib><creatorcontrib>De Groot Oliveira, Loretta</creatorcontrib><creatorcontrib>Branemark, Per-Ingvar, MD, PhD</creatorcontrib><creatorcontrib>de Cássia Braga Ribeiro, Karina, DDS, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Curi, Marcos Martins, DDS, MSc, PhD</au><au>Oliveira, Marcelo Ferraz, DDS, MSc, PhD</au><au>Molina, Giuliano, MD, MSc</au><au>Cardoso, Camila Lopes, DDS, MSc</au><au>De Groot Oliveira, Loretta</au><au>Branemark, Per-Ingvar, MD, PhD</au><au>de Cássia Braga Ribeiro, Karina, DDS, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Extraoral Implants in the Rehabilitation of Craniofacial Defects: Implant and Prosthesis Survival Rates and Peri-Implant Soft Tissue Evaluation</atitle><jtitle>Journal of oral and maxillofacial surgery</jtitle><addtitle>J Oral Maxillofac Surg</addtitle><date>2012-07-01</date><risdate>2012</risdate><volume>70</volume><issue>7</issue><spage>1551</spage><epage>1557</epage><pages>1551-1557</pages><issn>0278-2391</issn><eissn>1531-5053</eissn><coden>JOMSDA</coden><abstract>Purpose Few reports have evaluated cumulative survival rates of extraoral rehabilitation and peri-implant soft tissue reaction at long-term follow-up. The objective of this study was to evaluate implant and prosthesis survival rates and the soft tissue reactions around the extraoral implants used to support craniofacial prostheses. Materials and Methods A retrospective study was performed of patients who received implants for craniofacial rehabilitation from 2003 to 2010. Two outcome variables were considered: implant and prosthetic success. The following predictor variables were recorded: gender, age, implant placement location, number and size of implants, irradiation status in the treated field, date of prosthesis delivery, soft tissue response, and date of last follow-up. A statistical model was used to estimate survival rates and associated confidence intervals. We randomly selected 1 implant per patient for analysis. Data were analyzed using the Kaplan-Meier method and log-rank test to compare survival curves. Results A total of 150 titanium implants were placed in 56 patients. The 2-year overall implant survival rates were 94.1% for auricular implants, 90.9% for nasal implants, 100% for orbital implants, and 100% for complex midfacial implants ( P = .585). The implant survival rates were 100% for implants placed in irradiated patients and 94.4% for those placed in nonirradiated patients ( P = .324). The 2-year overall prosthesis survival rates were 100% for auricular implants, 90.0% for nasal implants, 92.3% for orbital implants, and 100% for complex midfacial implants ( P = .363). The evaluation of the peri-implant soft tissue response showed that 15 patients (26.7%) had a grade 0 soft tissue reaction, 30 (53.5%) had grade 1, 6 (10.7%) had grade 2, and 5 (8.9%) had grade 3. Conclusions From this study, it was concluded that craniofacial rehabilitation with extraoral implants is a safe, reliable, and predictable method to restore the patient's normal appearance.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22698291</pmid><doi>10.1016/j.joms.2012.03.011</doi><tpages>7</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Child Cranial Irradiation Dentistry Ear, External Facial Bones - surgery Female Follow-Up Studies Humans Male Mastoid - surgery Medical sciences Middle Aged Nasal Cavity - surgery Nose Orbital Implants Osteotomy - methods Otorhinolaryngology. Stomatology Prostheses and Implants Prosthesis Design Prosthesis Implantation - methods Prosthesis Retention Retrospective Studies Skin - pathology Skull - surgery Surgery Survival Analysis Temporal Bone - surgery Treatment Outcome Young Adult |
| title | Extraoral Implants in the Rehabilitation of Craniofacial Defects: Implant and Prosthesis Survival Rates and Peri-Implant Soft Tissue Evaluation |
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